Sweden – English
Bryan Paulose
Straumann® SMART Immediacy
09. Nov 2024 | Malaysia
Description
The Straumann® SMART Immediacy curriculum has been developed to provide practical guidance on the implementation of immediate implant protocols into dental practices.
This comprehensive curriculum offers a step-by-step approach with clear and concise instruction on seven key components of an immediate dental implant treatment, from consultation and data acquisition to digital planning, production, surgery, prosthetics, aftercare and maintenance.
Alongside the modules, course participants receive access to valuable online content from ITI International, our industry partner in implantology.
Straumann® Smart Immediacy curriculum is organized in 7 chapters:
• Chapter 0: Introduction to immediacy
• Chapter 1: Consultation & data acquisition
• Chapter 2: Digital planning
• Chapter 3: Production
• Chapter 4: Surgery
• Chapter 5: Prosthetics
• Chapter 6: Aftercare & Maintenance
Target group: Dentists, Implantologist
Product segments: Implantology
Sessions
Classroom Session
Venue location: Johor null
ITI Academy module: Healing of the Extaction Socket
Learning material: Lti
Description
Following tooth extraction, a well-described process of wound healing takes place in the extraction socket.A series of physiological events occur, resulting in wound healing and bone regeneration within the socket. Bone resorption results in external changes to the alveolar ridge.The outcome of this resorption is most often a significant modification of the pre-extraction outline of the alveolar ridge, which may present a problem for later prosthetic reconstruction.For this reason, a knowledge of the healing events following tooth extraction is essential for appropriate prosthodontically driven implant treatment planning.This module will present anatomic characteristics of the alveolar bone and extraction socket and will describe the histologic and dimensional changes following tooth extraction.
Introduction
Learning material: WBT
Timing
Learning material: WBT
Team workflow
Learning material: WBT
Immediacy and its benefits
Learning material: WBT
Conclusions
Learning material: WBT
ITI Academy module: Immediate Restoration and Loading
Learning material: Lti
Description
The goals in implant dentistry are to provide safe and predictable treatment that restores health, function, and esthetics when replacing missing teeth. A further goal is to provide this treatment in a timely manner to satisfy patient needs for reduced treatment time. Once an implant is placed, there are three loading protocols that may be used. An implant loading protocol is defined as the time elapsed between implant placement and the attachment of the prosthesis so that the implant is brought into function. Conventional loading of dental implants is defined as loading 2 or more months after implant placement. This is a well-established protocol that allows for complete healing of bone and peri-implant soft tissues prior to prosthesis attachment. In an early loading protocol, the prosthesis is attached between 1 week and 2 months subsequent to implant placement. The implants are put into function during the later stages of bone healing but prior to complete healing of soft tissues. This results in a relatively reduced treatment time between implant placement and loading compared to the conventional loading protocol.In contrast, immediate loading of dental implants is defined as prosthesis attachment within 1 week of implant placement, including the day of surgery. In this case, the process of peri-implant bone and soft tissue healing occurs with the provisional prosthesis attached to the implant from the outset.
ITI Academy module: Timing of Implant Placement after Tooth Extraction
Learning material: Lti
Description
When patients request dental implant treatment or are identified as candidates for implant therapy, they often present with failing teeth that need to be removed or have recently been extracted. Once a tooth has been removed, dynamic physiological and dimensional changes take place during the healing phase that may influence the choice of the best time to place an implant. These dimensional changes are clearly visible in the clinical situation of the site eight weeks after tooth extraction. There are several time points following tooth extraction that may be considered for the placement of dental implants. Each time point has advantages and disadvantages. The clinician is in a unique position to be able to prescribe the time for implant placement following tooth extraction in order to maximize the advantages and to achieve successful long-term outcomes. An understanding of the factors that are important in determining the timing of implant placement is an essential part of the treatment planning process. These factors will be presented in this module.
Primary stability
Learning material: WBT
ITI Academy module: Minimally Traumatic Extraction Techniques
Learning material: Lti
Description
The use of implant-supported dental prostheses to replace missing teeth has resulted in a renewed focus on extraction techniques, particularly in the esthetic zone.Removing the tooth without damaging the alveolar socket can facilitate post-operative healing, ridge preservation techniques and subsequent implant placement.This module will describe the techniques to remove a hopeless tooth with implant placement in mind.
ITI Academy module: The SAC Classification 2nd Edition
Learning material: Lti
Description
The use of dental implants has become a standard treatment in many clinical situations. However, in order to achieve optimal functional and esthetic results, the clinician has to assess the complexity and risks associated with an implant therapy before starting the treatment. The SAC classification system differentiates between Straightforward, Advanced and Complex treatments. The fully revised 2nd Edition of the SAC Classification in Implant Dentistry has been updated to ensure consistency with contemporary implant practice. The new version of the SAC Assessment Tool is also available here.
Assessment
Learning material: WBT
Straumann® coDiagnostiX®
Learning material: WBT
Assessment
Learning material: WBT
Smile in a Box
Learning material: WBT
Labrida BioClean®
Learning material: WBT
Introduction
Learning material: WBT
Conclusions
Learning material: WBT
Straumann® Virtuo Vivo
Learning material: WBT
Straumann® implants
Learning material: WBT
Straumann® abutments and surgical cassette
Learning material: WBT
Conclusions
Learning material: WBT
ITI Academy Congress Lecture: Post-Extraction Ridge Alteration - A Risk for Esthetics
Learning material: Lti
Description
This lecture addresses the dimensional alterations to the soft and hard tissues that take place following tooth extraction in the single-tooth site. Excellent visual aids accompany the lecture as Dr. Chen details the healing of the extraction socket and its role in implant therapy. Attention is placed on immediate (Type 1) and early implant placement (Types 2 & 3) and its influence on long-term esthetic outcomes. Clinical outcomes are supported by reference to several studies. The lecture concludes with clinical recommendations from the 5th ITI Consensus Conference.
Introduction
Learning material: WBT
ITI Academy Consensus Statement: Placement of Implants in Extraction Sockets
Learning material: Lti
First consultation
Learning material: WBT
ITI Academy Consensus Statement: Esthetic Outcomes following Immediate and Early Implant Placement in the Anterior Maxilla
Learning material: Lti
ITI Academy Consensus Statement: Implant Placement and Loading Protocols
Learning material: Lti
Assessment
Learning material: WBT
ITI Academy Congress Lecture: Post-Extraction Implant Placement: When Immediate, When Early and When Late?
Learning material: Lti
Description
This is a recording of Stephen Chen's Webinar on ITI Academy live. Many patients present with teeth that are indicated for extraction. Clinicians need to determine the best time to place implants after the tooth has been removed to maximize treatment outcomes and minimize complications of treatment in the long term. In his webinar, Stephen Chen discusses the indications and recommendations regarding timing of implant placement post-extraction and presents three cases illustrating the different treatment concepts. The webinar focuses on the single-tooth maxillary anterior case type.
ITI Academy Consensus Statement: Implants in Postextraction Sites
Learning material: Lti
Selection criteria for immediacy
Learning material: WBT
ITI Congress Lecture: Indications and Limits to Digital Impressions
Learning material: Lti
Description
With the introduction of intra-oral scanners and the widely used application of implant-supported prostheses produced using CAD/CAM it is now possible to digitize implant positions directly in the patient’s mouth.Making intra-oral scans of implants, rather than digitizing plaster casts based on conventional impressions, saves a number of steps in the restorative process. With fewer steps, there is potentially also less risk of errors and discrepancies.However, digital impression is a fairly new approach and technology and the evidence base found in the literature is still lacking.This lecture presents aspects of the clinical application of intra-oral scanning and discusses why adopting modern treatment approaches deviating from the conventional modality can be challenging for practitioners, despite the pressure to stay in tune with modern technological developments. Different digital impression systems are presented and the potential and challenges entailed by digital impression techniques are elucidated.
Assessment
Learning material: WBT
ITI Consensus Statement: Accuracy of Different Dental Impression Techniques for Implant-Supported Dental Prostheses
Learning material: Lti
Introduction
Learning material: WBT
Files for digital
Learning material: WBT
ITI Congress Lecture: The Precision of CBCT
Learning material: Lti
Description
This lecture addresses the role of precision in CBCT imaging as currently used in dental and maxillofacial treatment. Use of 3D images is placed in the context of two aspects of precision: repeatability and reproducibility.Digital dental and maxillofacial imaging in 2D and 3D are compared and contrasted, including the principles of obtaining each image type and the most common sources of errors in linear and volumetric measurements. This lecture also explains the relationship between greyscale values in CBCT images and the Hounsfield units of the anatomic structures being imaged.A discussion of why precision in imaging is crucial in implant surgery concludes this lecture, with a focus on how imaging errors accumulate to affect the accuracy or precision of guided surgery.
ITI Congress Lecture: Intraoral Scanning
Learning material: Lti
Description
This lecture considers the intraoral scanner in the context of both the clinical/laboratory digital workflow and the current dental technology industry. Challenges facing the dental technology industry include shrinking numbers of trained technicians and an aging workforce. Moreover, current and emerging materials require a digital environment.This lecture outlines how scanners fit into the digital workflow and describes other ways that scanners could be used in daily dental practice. Dr. Gratton also discusses use of intraoral scanners, cone beam computed tomography and extraoral scanners in view of the SAC classification of clinical cases. Finally, the lecture describes a new implant impression workflow that uses ‟3D in motion“ video technology.
ITI Congress Lecture: Digital Approach to Implant Dentistry
Learning material: Lti
Description
The aim of this lecture is to take the viewer through the digital workflow, from treatment planning to the reconstructive phase. Superimposing DICOM and STL files in an appropriate software allows for precise planning of the implant treatment and production of the surgical stent. For the surgical stent to be accurate, it must be properly seated; this lecture addresses in detail how to produce a precise stent in most demanding cases - edentulous patients. Furthermore, it takes us through the steps of guided implant placement as well as the possibilities and accuracy of digital impressions. Finally, the workflow for prosthodontic production is explained. The lecture presents scientific evidence regarding the accuracy, reproducibility, and cost effectiveness of the digital approach in implant dentistry.
ITI Congress Lecture: Indications and Recommendations for CBCT Imaging in Implant Dentistry
Learning material: Lti
Description
This lecture considers key aspects of 3D imaging in implant dentistry. Primary topics include the principles for appropriate use of cone beam computed tomography (CBCT) and the techniques to limit patient radiation exposure. Relevant clinical questions for implant treatment planning that can be answered by 3D imaging are categorized into anterior maxilla, posterior maxilla, anterior mandible, and posterior mandible. The use of CBCT in the diagnosis of implant failures and complications is also addressed.The lecture concludes with a discussion of the ITI guidelines and recommendations for use of 3D imaging techniques.
3D radiography
Learning material: WBT
ITI Academy module: Digital Implant Impression
Learning material: Lti
Description
With the introduction of intraoral scanners and the widely used application of implant-supported prostheses produced using CAD/CAM - or Computer-Aided Design/Computer-Aided Manufacturing - it is possible to digitize implant positions directly in the patient's mouth.Making intraoral scans of implants, rather than digitizing plaster casts based on conventional impressions, saves a number of steps in the restorative process. With fewer steps, there is potentially also less risk of errors and discrepancies. This module will focus on the applications of intraoral scanning of dental implants.
ITI Consensus Statement: Cone Beam Computed Tomography (CBCT)
Learning material: Lti
Conclusions
Learning material: WBT
ITI Academy module: Introduction to Radiographic Assessment
Learning material: Lti
Description
Radiology is used in implant dentistry to supplement and confirm clinical findings.Radiographs can assist with diagnosis and treatment planning and in reviewing restored dental implants at regular maintenance visits.The 3D volume-rendered image shown here demonstrates the level of detail that can be obtained. However, all radiation - including x-rays - carries risk of tissue damage and long-term effects.Therefore, where radiography is planned, consideration must be given to the risks associated with the investigation, which must be balanced against the expected benefits that will result.Equally, consideration must be given to an assessment of the diagnostic and planning needs of the case.Selection of the correct radiographic technique should be based on this balance between diagnostic needs and risk.
Intraoral scanning
Learning material: WBT
Assessment
Learning material: WBT
Surgery planning for ant. & post. areas
Learning material: WBT
Digital surgery planning
Learning material: WBT
Introduction
Learning material: WBT
Conclusions
Learning material: WBT
Centralized Planning
Learning material: WBT
Conclusions
Learning material: WBT
Centralized Planning Introduction
Learning material: WBT
Assessment
Learning material: WBT
Assessment
Learning material: WBT
Centralized production
Learning material: WBT
All-in-one delivery
Learning material: WBT
Introduction
Learning material: WBT
Conclusions
Learning material: WBT
Tissue- and bone-level
Learning material: WBT
Assessment
Learning material: WBT
Drills and drill guides
Learning material: WBT
Introduction
Learning material: WBT
Conclusions
Learning material: WBT
Implant bed preparation
Learning material: WBT
Assessment
Learning material: WBT
Implant placement
Learning material: WBT
Conclusions
Learning material: WBT
Introduction
Learning material: WBT
ITI Consensus Statement: Loading Protocols for Single Implants in Partially Edentulous Patients
Learning material: Lti
Conclusions
Learning material: WBT
Temp. restoration design and installation
Learning material: WBT
ITI Academy module: Loading Protocols
Learning material: Lti
Description
The moment when implants are put into function is marked by the connection of the implant prosthesis.The choice of the most suitable loading protocol is an important step in the process of treatment planning. When selecting the moment of implant rehabilitation, you are faced with an important clinical decision.This module presents the different criteria for choosing the loading protocols.
ITI Consensus Statement: Loading Protocols - Definition of Terms and General Statement
Learning material: Lti
Assessment
Learning material: WBT
ITI Academy module: Immediate Restoration and Loading
Learning material: Lti
Description
The goals in implant dentistry are to provide safe and predictable treatment that restores health, function, and esthetics when replacing missing teeth. A further goal is to provide this treatment in a timely manner to satisfy patient needs for reduced treatment time.Once an implant is placed, there are three loading protocols that may be used. An implant loading protocol is defined as the time elapsed between implant placement and the attachment of the prosthesis so that the implant is brought into function.Conventional loading of dental implants is defined as loading 2 or more months after implant placement. This is a well-established protocol that allows for complete healing of bone and peri-implant soft tissues prior to prosthesis attachment.In an early loading protocol, the prosthesis is attached between 1 week and 2 months subsequent to implant placement. The implants are put into function during the later stages of bone healing but prior to complete healing of soft tissues. This results in a relatively reduced treatment time between implant placement and loading compared to the conventional loading protocol.In contrast, immediate loading of dental implants is defined as prosthesis attachment within 1 week of implant placement, including the day of surgery. In this case, the process of peri-implant bone and soft tissue healing occurs with the provisional prosthesis attached to the implant from the outset.
Variobase® for temporary restorations
Learning material: WBT
Introduction
Learning material: WBT
Installation
Learning material: WBT
Conclusions
Learning material: WBT
Introduction
Learning material: WBT
CAI_CAD_CAM
Learning material: WBT
Assessment
Learning material: WBT
Conclusions
Learning material: WBT
ITI Academy module: Monitoring Peri-Implant Tissue Health
Learning material: Lti
Description
Implant-supported tooth replacement offers a tremendous benefit to patients.In order to assure the long-term success of implant therapy, it is important to understand the complex biologic environment that is present around implants.Implants are biomedical devices that exist under functional demands within an environment shaped by the biologic interactions between the microbial biofilm and the immune response.Maintenance of peri-implant tissue health is therefore critical to the long-term survival, success and benefit of implant therapy for the patient.
ITI Congress Lecture: Factors for Long-term Treatment Outcomes
Learning material: Lti
Description
Long-term success in implant dentistry is based on the primary outcome of an implant-prosthetic complex taken as a whole. This presentation addresses current trends and scientific evidence on risk assessment, treatment planning, and implant prosthodontic considerations as indicators of treatment success. In particular, the most frequently used criteria to define treatment success for implant rehabilitations are updated. These include implant level, peri-implant soft tissue, prosthodontics, and patient satisfaction parameters. Additionally, the potential of digital dental technology to improve the accuracy of care delivery according to a specified treatment plan and to reduce complications is presented as a factor for ensuring long-term outcomes.
ITI Congress Lecture: Periodontitis versus Peri-Implantitis - Pathogenesis and Treatment Options
Learning material: Lti
Description
The aim of this lecture is to discuss similarities and differences between periodontal and peri-implant tissues, which affect the pathology, disease diagnosis and consequent treatment modalities.Clinically, peri-implantitis is associated with deepened pockets, bleeding on probing and/or suppuration and the loss of supporting marginal bone. Similar to periodontitis, the major etiologic factor is the microbial biofilm, and both implant components and implant restorations should be designed so that personal oral hygiene is feasible.Patients should be informed that peri-implant tissues respond to plaque accumulation in a similar way to periodontal tissues, and that disease may develop in the tissues around the implants, which would jeopardize their longevity.Adequate personal oral hygiene is essential and patients with a history of periodontal disease, in particular smokers and those suffering from diabetes mellitus, should be informed about the increased risk of peri-implant disease before implant placement. It is imperative that periodontal disease is treated before implant placement.
Assessment
Learning material: WBT
Peri-implant inflammation management
Learning material: WBT
Introduction
Learning material: WBT
ITI Academy module: Managing Biological Complications
Learning material: Lti
Description
Implant treatment is highly successful, as documented in a wealth of scientific literature. However, clinicians should expect to see complications within their daily practice.Complications that are associated with the surrounding peri-implant mucosa or bone are referred to as biological complications. They occur when there is an imbalance between the bacterial biofilm challenge to the tissues around an implant and the host defense, resulting in an inflammatory process.
ITI Congress Lecture: Surgical Planning to Prevent Biological Complications
Learning material: Lti
Description
This lecture underlines the importance of using well-documented implant systems and regenerative materials and also stresses that the whole dentition should be taken into consideration when planning placement of dental implants. Key topics include: the number of implants needed to replace missing teeth; indications for treating existing periodontal pockets prior to or simultaneous with implant placement; the amount and quality of existing keratinized mucosa and alveolar bone; and the ideal vertical position of the implant.Numerous well-documented clinical cases support all information presented. The lecture concludes with clear recommendations for avoiding future complications.
Clinical evaluation
Learning material: WBT
ITI Congress Lecture: Does Patient Maintenance and Prosthesis Design Influence Bone and Soft Tissue Maintenance?
Learning material: Lti
Description
Based on a description of the differences between periodontal and peri-implant tissues, peri-implantitis and peri-implant mucositis are defined. Preventive measures to avoid peri-implant infection are listed, and treatment strategies are outlined, including cumulative interceptive supportive therapy (CIST) for peri-implant mucositis and peri-implantitis. The available and increasing evidence for the importance of a zone of keratinized peri-implant mucosa to preserve healthy peri-implant tissues long-term is presented. Finally, the lecturer underlines the importance of designing prosthetic superstructures with adequate access for proper diagnostics and home care for the patient.
ITI Congress Lecture: Biological and Technical Complications in Implant Dentistry
Learning material: Lti
Description
This lecture gives an excellent introduction to and overview of the wide range of complications seen in implant dentistry. Biologic and hardware complications are defined and their incidence presented. Risk factors for complications are discussed and ranked, and strategies for their management are introduced. Finally, the evolution in occurrence of complications is discussed and related to changes in available implant materials as well as to changes in surgical and prosthetic techniques.
Introduction to Immediacy - Part 1
Straumann® Smart Immediacy- Introduction to immediacy includes two parts: Part 1: Foundations of immediacy Module duration: Approx: 1.30 h In foundations of immediacy, we will take you through four modules. The first module explains what immediacy is and what the benefits are. The second module covers the role of primary stability for the successful immediate loading of dental implants. In the third module, we will look at the appropriate timing for implant placement and the last module will cover the team workflow in immediate treatments. To expand your knowledge, you have access to the complementary ITI Academy modules: minimally traumatic extraction techniques, healing of the extraction socket, immediate Restoration and Loading in Implant Therapy, timing of implant placement after tooth extraction, the SAC classification.
ITI Academy module: Healing of the Extaction Socket
Learning material: Lti
Description
Following tooth extraction, a well-described process of wound healing takes place in the extraction socket.A series of physiological events occur, resulting in wound healing and bone regeneration within the socket. Bone resorption results in external changes to the alveolar ridge.The outcome of this resorption is most often a significant modification of the pre-extraction outline of the alveolar ridge, which may present a problem for later prosthetic reconstruction.For this reason, a knowledge of the healing events following tooth extraction is essential for appropriate prosthodontically driven implant treatment planning.This module will present anatomic characteristics of the alveolar bone and extraction socket and will describe the histologic and dimensional changes following tooth extraction.
Introduction
Learning material: WBT
Timing
Learning material: WBT
Team workflow
Learning material: WBT
Immediacy and its benefits
Learning material: WBT
Conclusions
Learning material: WBT
ITI Academy module: Immediate Restoration and Loading
Learning material: Lti
Description
The goals in implant dentistry are to provide safe and predictable treatment that restores health, function, and esthetics when replacing missing teeth. A further goal is to provide this treatment in a timely manner to satisfy patient needs for reduced treatment time. Once an implant is placed, there are three loading protocols that may be used. An implant loading protocol is defined as the time elapsed between implant placement and the attachment of the prosthesis so that the implant is brought into function. Conventional loading of dental implants is defined as loading 2 or more months after implant placement. This is a well-established protocol that allows for complete healing of bone and peri-implant soft tissues prior to prosthesis attachment. In an early loading protocol, the prosthesis is attached between 1 week and 2 months subsequent to implant placement. The implants are put into function during the later stages of bone healing but prior to complete healing of soft tissues. This results in a relatively reduced treatment time between implant placement and loading compared to the conventional loading protocol.In contrast, immediate loading of dental implants is defined as prosthesis attachment within 1 week of implant placement, including the day of surgery. In this case, the process of peri-implant bone and soft tissue healing occurs with the provisional prosthesis attached to the implant from the outset.
ITI Academy module: Timing of Implant Placement after Tooth Extraction
Learning material: Lti
Description
When patients request dental implant treatment or are identified as candidates for implant therapy, they often present with failing teeth that need to be removed or have recently been extracted. Once a tooth has been removed, dynamic physiological and dimensional changes take place during the healing phase that may influence the choice of the best time to place an implant. These dimensional changes are clearly visible in the clinical situation of the site eight weeks after tooth extraction. There are several time points following tooth extraction that may be considered for the placement of dental implants. Each time point has advantages and disadvantages. The clinician is in a unique position to be able to prescribe the time for implant placement following tooth extraction in order to maximize the advantages and to achieve successful long-term outcomes. An understanding of the factors that are important in determining the timing of implant placement is an essential part of the treatment planning process. These factors will be presented in this module.
Primary stability
Learning material: WBT
ITI Academy module: Minimally Traumatic Extraction Techniques
Learning material: Lti
Description
The use of implant-supported dental prostheses to replace missing teeth has resulted in a renewed focus on extraction techniques, particularly in the esthetic zone.Removing the tooth without damaging the alveolar socket can facilitate post-operative healing, ridge preservation techniques and subsequent implant placement.This module will describe the techniques to remove a hopeless tooth with implant placement in mind.
ITI Academy module: The SAC Classification 2nd Edition
Learning material: Lti
Description
The use of dental implants has become a standard treatment in many clinical situations. However, in order to achieve optimal functional and esthetic results, the clinician has to assess the complexity and risks associated with an implant therapy before starting the treatment. The SAC classification system differentiates between Straightforward, Advanced and Complex treatments. The fully revised 2nd Edition of the SAC Classification in Implant Dentistry has been updated to ensure consistency with contemporary implant practice. The new version of the SAC Assessment Tool is also available here.
Assessment
Learning material: WBT
Introduction to Immediacy - Part 2
Part 2: Introduction to the Products used in SMART Immediacy: Module duration: Approx: 2.15 h In part 2: Straumann® Products for Immediacy, we will take you through six content modules. In them, you will learn everything about the Straumann® Virtuo VivoTM intraoral scanner, the Straumann® coDiagnostiX® digital planning software, the Smile in a BoxTM service, Straumann® BLX and TLX implants, Straumann® abutments and the Straumann® Surgical Cassette, and the Labrida BioClean® brush.
Straumann® coDiagnostiX®
Learning material: WBT
Assessment
Learning material: WBT
Smile in a Box
Learning material: WBT
Labrida BioClean®
Learning material: WBT
Introduction
Learning material: WBT
Conclusions
Learning material: WBT
Straumann® Virtuo Vivo
Learning material: WBT
Straumann® implants
Learning material: WBT
Straumann® abutments and surgical cassette
Learning material: WBT
Consultation & Data acquisition - Part 1
Part 1: Consultation: Module duration: Approx: 0.55 h In part 1: Consultation, we will take you through two content modules. The first module gives you a step-by-step explanation of how to conduct the first consultation for immediate treatment with your patient. The second module covers the criteria for deciding whether immediate treatment is suitable for your patient. To expand your knowledge, you have access to the complementary ITI Academy modules: the SAC classification, immediate placement.
Conclusions
Learning material: WBT
ITI Academy Congress Lecture: Post-Extraction Ridge Alteration - A Risk for Esthetics
Learning material: Lti
Description
This lecture addresses the dimensional alterations to the soft and hard tissues that take place following tooth extraction in the single-tooth site. Excellent visual aids accompany the lecture as Dr. Chen details the healing of the extraction socket and its role in implant therapy. Attention is placed on immediate (Type 1) and early implant placement (Types 2 & 3) and its influence on long-term esthetic outcomes. Clinical outcomes are supported by reference to several studies. The lecture concludes with clinical recommendations from the 5th ITI Consensus Conference.
Introduction
Learning material: WBT
ITI Academy Consensus Statement: Placement of Implants in Extraction Sockets
Learning material: Lti
First consultation
Learning material: WBT
ITI Academy Consensus Statement: Esthetic Outcomes following Immediate and Early Implant Placement in the Anterior Maxilla
Learning material: Lti
ITI Academy Consensus Statement: Implant Placement and Loading Protocols
Learning material: Lti
Assessment
Learning material: WBT
ITI Academy Congress Lecture: Post-Extraction Implant Placement: When Immediate, When Early and When Late?
Learning material: Lti
Description
This is a recording of Stephen Chen's Webinar on ITI Academy live. Many patients present with teeth that are indicated for extraction. Clinicians need to determine the best time to place implants after the tooth has been removed to maximize treatment outcomes and minimize complications of treatment in the long term. In his webinar, Stephen Chen discusses the indications and recommendations regarding timing of implant placement post-extraction and presents three cases illustrating the different treatment concepts. The webinar focuses on the single-tooth maxillary anterior case type.
ITI Academy Consensus Statement: Implants in Postextraction Sites
Learning material: Lti
Selection criteria for immediacy
Learning material: WBT
Consultation & Data acquisition - Part 2
Part 2: Data acquisition Module duration: Approx: 1.05 h In part 2: Data acquisition, we will take you through three content modules. The first module gives you an overview of how to conduct a 3D radiography, and the second guides you through the process of intraoral scanning. Finally, the third module gives you an overview of the files you need for digital surgery planning. To expand your knowledge, you have access to the complementary ITI Academy modules: 3D CBCT in Implant Dentistry, accuracy and Predictability of Digital Implant Impression Techniques, digital impression, implant Digital impression, indications and Limits to Digital Impressions.
ITI Congress Lecture: Indications and Limits to Digital Impressions
Learning material: Lti
Description
With the introduction of intra-oral scanners and the widely used application of implant-supported prostheses produced using CAD/CAM it is now possible to digitize implant positions directly in the patient’s mouth.Making intra-oral scans of implants, rather than digitizing plaster casts based on conventional impressions, saves a number of steps in the restorative process. With fewer steps, there is potentially also less risk of errors and discrepancies.However, digital impression is a fairly new approach and technology and the evidence base found in the literature is still lacking.This lecture presents aspects of the clinical application of intra-oral scanning and discusses why adopting modern treatment approaches deviating from the conventional modality can be challenging for practitioners, despite the pressure to stay in tune with modern technological developments. Different digital impression systems are presented and the potential and challenges entailed by digital impression techniques are elucidated.
Assessment
Learning material: WBT
ITI Consensus Statement: Accuracy of Different Dental Impression Techniques for Implant-Supported Dental Prostheses
Learning material: Lti
Introduction
Learning material: WBT
Files for digital
Learning material: WBT
ITI Congress Lecture: The Precision of CBCT
Learning material: Lti
Description
This lecture addresses the role of precision in CBCT imaging as currently used in dental and maxillofacial treatment. Use of 3D images is placed in the context of two aspects of precision: repeatability and reproducibility.Digital dental and maxillofacial imaging in 2D and 3D are compared and contrasted, including the principles of obtaining each image type and the most common sources of errors in linear and volumetric measurements. This lecture also explains the relationship between greyscale values in CBCT images and the Hounsfield units of the anatomic structures being imaged.A discussion of why precision in imaging is crucial in implant surgery concludes this lecture, with a focus on how imaging errors accumulate to affect the accuracy or precision of guided surgery.
ITI Congress Lecture: Intraoral Scanning
Learning material: Lti
Description
This lecture considers the intraoral scanner in the context of both the clinical/laboratory digital workflow and the current dental technology industry. Challenges facing the dental technology industry include shrinking numbers of trained technicians and an aging workforce. Moreover, current and emerging materials require a digital environment.This lecture outlines how scanners fit into the digital workflow and describes other ways that scanners could be used in daily dental practice. Dr. Gratton also discusses use of intraoral scanners, cone beam computed tomography and extraoral scanners in view of the SAC classification of clinical cases. Finally, the lecture describes a new implant impression workflow that uses ‟3D in motion“ video technology.
ITI Congress Lecture: Digital Approach to Implant Dentistry
Learning material: Lti
Description
The aim of this lecture is to take the viewer through the digital workflow, from treatment planning to the reconstructive phase. Superimposing DICOM and STL files in an appropriate software allows for precise planning of the implant treatment and production of the surgical stent. For the surgical stent to be accurate, it must be properly seated; this lecture addresses in detail how to produce a precise stent in most demanding cases - edentulous patients. Furthermore, it takes us through the steps of guided implant placement as well as the possibilities and accuracy of digital impressions. Finally, the workflow for prosthodontic production is explained. The lecture presents scientific evidence regarding the accuracy, reproducibility, and cost effectiveness of the digital approach in implant dentistry.
ITI Congress Lecture: Indications and Recommendations for CBCT Imaging in Implant Dentistry
Learning material: Lti
Description
This lecture considers key aspects of 3D imaging in implant dentistry. Primary topics include the principles for appropriate use of cone beam computed tomography (CBCT) and the techniques to limit patient radiation exposure. Relevant clinical questions for implant treatment planning that can be answered by 3D imaging are categorized into anterior maxilla, posterior maxilla, anterior mandible, and posterior mandible. The use of CBCT in the diagnosis of implant failures and complications is also addressed.The lecture concludes with a discussion of the ITI guidelines and recommendations for use of 3D imaging techniques.
3D radiography
Learning material: WBT
ITI Academy module: Digital Implant Impression
Learning material: Lti
Description
With the introduction of intraoral scanners and the widely used application of implant-supported prostheses produced using CAD/CAM - or Computer-Aided Design/Computer-Aided Manufacturing - it is possible to digitize implant positions directly in the patient's mouth.Making intraoral scans of implants, rather than digitizing plaster casts based on conventional impressions, saves a number of steps in the restorative process. With fewer steps, there is potentially also less risk of errors and discrepancies. This module will focus on the applications of intraoral scanning of dental implants.
ITI Consensus Statement: Cone Beam Computed Tomography (CBCT)
Learning material: Lti
Conclusions
Learning material: WBT
ITI Academy module: Introduction to Radiographic Assessment
Learning material: Lti
Description
Radiology is used in implant dentistry to supplement and confirm clinical findings.Radiographs can assist with diagnosis and treatment planning and in reviewing restored dental implants at regular maintenance visits.The 3D volume-rendered image shown here demonstrates the level of detail that can be obtained. However, all radiation - including x-rays - carries risk of tissue damage and long-term effects.Therefore, where radiography is planned, consideration must be given to the risks associated with the investigation, which must be balanced against the expected benefits that will result.Equally, consideration must be given to an assessment of the diagnostic and planning needs of the case.Selection of the correct radiographic technique should be based on this balance between diagnostic needs and risk.
Intraoral scanning
Learning material: WBT
Digital Planning - Part 1
Part 1: Key aspects for a successful digital planning Module duration: Approx: 1.10 h In part 1: Successful Digital Planning, we will take you through two content modules. The first module shows you how to digitally plan implantation surgery for the anterior and posterior areas. The second module introduces you to digital surgery planning with the Straumann® coDiagnostix® software.
Assessment
Learning material: WBT
Surgery planning for ant. & post. areas
Learning material: WBT
Digital surgery planning
Learning material: WBT
Introduction
Learning material: WBT
Conclusions
Learning material: WBT
Digital Planning - Part 2
Part 2: Centralized planning Module duration: Approx: 0.45 h In part 2: Centralized Planning, we will take you through the content module Centralized digital planning. In it, you will learn how to digitally plan your surgery with the Smile in a BoxTM service.
Centralized Planning
Learning material: WBT
Conclusions
Learning material: WBT
Centralized Planning Introduction
Learning material: WBT
Assessment
Learning material: WBT
Production
Part 1: Production with a centralized service Module duration: Approx: 0.55 h In part 1: Production with a Centralized Service, we will take you through two content modules. The first module shows you how temporary restorations and surgical guides are designed and produced by a centralized service. The second module explains how to set up your surgery with the elements included in your all-in-one delivery.
Assessment
Learning material: WBT
Centralized production
Learning material: WBT
All-in-one delivery
Learning material: WBT
Introduction
Learning material: WBT
Conclusions
Learning material: WBT
Surgery - Part 1
Straumann® Smart Immediacy- Surgery includes two parts: Part 1: Tools for immediate surgery Module duration: Approx: 0.55 h In part 1: Tools for Immediate Surgery, we will take you through two content modules. In the first module, you will learn the benefits of BLX and TLX implants and be able to choose an appropriate implant for your immediate treatment. In the second module, you will know the benefits of Straumann® VeloDrillsTM and be able to design, test, and place drill guides.
Tissue- and bone-level
Learning material: WBT
Assessment
Learning material: WBT
Drills and drill guides
Learning material: WBT
Introduction
Learning material: WBT
Conclusions
Learning material: WBT
Surgery - Part 2
Part 2: Immediate surgery workflow Module duration: Approx: 1.05 h In part 2: Immediate Surgery, we will take you through two content modules. In the first module, you will learn how to prepare the implant bed with Straumann® surgical instruments. In the second module, you will learn how to place Straumann® BLX and TLX implants.
Implant bed preparation
Learning material: WBT
Assessment
Learning material: WBT
Implant placement
Learning material: WBT
Conclusions
Learning material: WBT
Introduction
Learning material: WBT
Prosthetics - Part 1
Part 1: Temporary restoration: design and installation Module duration: Approx: 0.50 h In part 1: Temporary Restorations, we will take you through two content modules. In the first module, you will learn how temporary restorations should be designed and installed to support the healing process of the implantation site appropriately. In the second module, you will find out what the features and benefits of Straumann® Variobase® abutments are and how you can use them to install temporary restorations. To expand your knowledge, you have access to the complementary ITI Academy modules: - Immediate restoration and loading - Loading Protocols - Definition of Terms and General Statement - Loading Protocols for Single Implants in Partially Edentulous Patients
ITI Consensus Statement: Loading Protocols for Single Implants in Partially Edentulous Patients
Learning material: Lti
Conclusions
Learning material: WBT
Temp. restoration design and installation
Learning material: WBT
ITI Academy module: Loading Protocols
Learning material: Lti
Description
The moment when implants are put into function is marked by the connection of the implant prosthesis.The choice of the most suitable loading protocol is an important step in the process of treatment planning. When selecting the moment of implant rehabilitation, you are faced with an important clinical decision.This module presents the different criteria for choosing the loading protocols.
ITI Consensus Statement: Loading Protocols - Definition of Terms and General Statement
Learning material: Lti
Assessment
Learning material: WBT
ITI Academy module: Immediate Restoration and Loading
Learning material: Lti
Description
The goals in implant dentistry are to provide safe and predictable treatment that restores health, function, and esthetics when replacing missing teeth. A further goal is to provide this treatment in a timely manner to satisfy patient needs for reduced treatment time.Once an implant is placed, there are three loading protocols that may be used. An implant loading protocol is defined as the time elapsed between implant placement and the attachment of the prosthesis so that the implant is brought into function.Conventional loading of dental implants is defined as loading 2 or more months after implant placement. This is a well-established protocol that allows for complete healing of bone and peri-implant soft tissues prior to prosthesis attachment.In an early loading protocol, the prosthesis is attached between 1 week and 2 months subsequent to implant placement. The implants are put into function during the later stages of bone healing but prior to complete healing of soft tissues. This results in a relatively reduced treatment time between implant placement and loading compared to the conventional loading protocol.In contrast, immediate loading of dental implants is defined as prosthesis attachment within 1 week of implant placement, including the day of surgery. In this case, the process of peri-implant bone and soft tissue healing occurs with the provisional prosthesis attached to the implant from the outset.
Variobase® for temporary restorations
Learning material: WBT
Introduction
Learning material: WBT
Prosthetics - Part 2
Part 2: Final restoration Module duration: Approx: 0.55 h In part 2: Final Restorations, we will take you through two content modules. In the first module, you will learn how final restorations are designed and produced with CAI, CAD, and CAM, and in the second module, you will find out when and how final restorations are installed.
Installation
Learning material: WBT
Conclusions
Learning material: WBT
Introduction
Learning material: WBT
CAI_CAD_CAM
Learning material: WBT
Assessment
Learning material: WBT
Aftercare and Maintenance
Straumann® Smart Immediacy-aftercare and Maintenance includes one part: Part 1: Aftercare and maintenance plan Module duration: Approx: 1.00 h In part 1: Aftercare and Maintenance Plan, we will take you through two content modules. In the first module, you will learn how to clinically assess the health of peri-implant tissue, and in the second chapter, you will learn how to manage peri -implant inflammation with the Labrida BioClean® brush. To expand your knowledge, you have access to the complementary ITI Academy modules: ITI module: Monitoring Peri-Implant Tissue Health, treatment outcomes and Continuing Care, diagnosis and Management of Biological Complications.
Conclusions
Learning material: WBT
ITI Academy module: Monitoring Peri-Implant Tissue Health
Learning material: Lti
Description
Implant-supported tooth replacement offers a tremendous benefit to patients.In order to assure the long-term success of implant therapy, it is important to understand the complex biologic environment that is present around implants.Implants are biomedical devices that exist under functional demands within an environment shaped by the biologic interactions between the microbial biofilm and the immune response.Maintenance of peri-implant tissue health is therefore critical to the long-term survival, success and benefit of implant therapy for the patient.
ITI Congress Lecture: Factors for Long-term Treatment Outcomes
Learning material: Lti
Description
Long-term success in implant dentistry is based on the primary outcome of an implant-prosthetic complex taken as a whole. This presentation addresses current trends and scientific evidence on risk assessment, treatment planning, and implant prosthodontic considerations as indicators of treatment success. In particular, the most frequently used criteria to define treatment success for implant rehabilitations are updated. These include implant level, peri-implant soft tissue, prosthodontics, and patient satisfaction parameters. Additionally, the potential of digital dental technology to improve the accuracy of care delivery according to a specified treatment plan and to reduce complications is presented as a factor for ensuring long-term outcomes.
ITI Congress Lecture: Periodontitis versus Peri-Implantitis - Pathogenesis and Treatment Options
Learning material: Lti
Description
The aim of this lecture is to discuss similarities and differences between periodontal and peri-implant tissues, which affect the pathology, disease diagnosis and consequent treatment modalities.Clinically, peri-implantitis is associated with deepened pockets, bleeding on probing and/or suppuration and the loss of supporting marginal bone. Similar to periodontitis, the major etiologic factor is the microbial biofilm, and both implant components and implant restorations should be designed so that personal oral hygiene is feasible.Patients should be informed that peri-implant tissues respond to plaque accumulation in a similar way to periodontal tissues, and that disease may develop in the tissues around the implants, which would jeopardize their longevity.Adequate personal oral hygiene is essential and patients with a history of periodontal disease, in particular smokers and those suffering from diabetes mellitus, should be informed about the increased risk of peri-implant disease before implant placement. It is imperative that periodontal disease is treated before implant placement.
Assessment
Learning material: WBT
Peri-implant inflammation management
Learning material: WBT
Introduction
Learning material: WBT
ITI Academy module: Managing Biological Complications
Learning material: Lti
Description
Implant treatment is highly successful, as documented in a wealth of scientific literature. However, clinicians should expect to see complications within their daily practice.Complications that are associated with the surrounding peri-implant mucosa or bone are referred to as biological complications. They occur when there is an imbalance between the bacterial biofilm challenge to the tissues around an implant and the host defense, resulting in an inflammatory process.
ITI Congress Lecture: Surgical Planning to Prevent Biological Complications
Learning material: Lti
Description
This lecture underlines the importance of using well-documented implant systems and regenerative materials and also stresses that the whole dentition should be taken into consideration when planning placement of dental implants. Key topics include: the number of implants needed to replace missing teeth; indications for treating existing periodontal pockets prior to or simultaneous with implant placement; the amount and quality of existing keratinized mucosa and alveolar bone; and the ideal vertical position of the implant.Numerous well-documented clinical cases support all information presented. The lecture concludes with clear recommendations for avoiding future complications.
Clinical evaluation
Learning material: WBT
ITI Congress Lecture: Does Patient Maintenance and Prosthesis Design Influence Bone and Soft Tissue Maintenance?
Learning material: Lti
Description
Based on a description of the differences between periodontal and peri-implant tissues, peri-implantitis and peri-implant mucositis are defined. Preventive measures to avoid peri-implant infection are listed, and treatment strategies are outlined, including cumulative interceptive supportive therapy (CIST) for peri-implant mucositis and peri-implantitis. The available and increasing evidence for the importance of a zone of keratinized peri-implant mucosa to preserve healthy peri-implant tissues long-term is presented. Finally, the lecturer underlines the importance of designing prosthetic superstructures with adequate access for proper diagnostics and home care for the patient.
ITI Congress Lecture: Biological and Technical Complications in Implant Dentistry
Learning material: Lti
Description
This lecture gives an excellent introduction to and overview of the wide range of complications seen in implant dentistry. Biologic and hardware complications are defined and their incidence presented. Risk factors for complications are discussed and ranked, and strategies for their management are introduced. Finally, the evolution in occurrence of complications is discussed and related to changes in available implant materials as well as to changes in surgical and prosthetic techniques.
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